Scaling Up, Coverage, and Targeting

  • David H. PetersEmail author
  • Gita Sinha
  • Robert C. Bollinger


In this chapter, we examine the current state of knowledge and practice concerned with scaling up and achieving universal coverage of HIV and sexually transmitted diseases (STD) health services, and targeting interventions to specific populations. Recognizing that routes of disease transmission and the consequences of disease cross international borders, the processes of scaling up HIV and STD prevention programs are inherently global issues. Nonetheless, understanding specific local and national contexts is essential to effectively scale up health programs. As illustrated by the emerging research initiatives and resources for program implementation, there is also a push in the USA to build the theory and evidence to improve program performance and scale up programs that contribute to HIV and STD prevention, both nationally and globally. These issues are of importance not only for HIV and STD prevention programs, but they also raise significant political, economic, social, and technical concerns beyond these programs, for many stakeholders at local and national levels. These issues have a prominent place on the global health agenda, and particularly for low and middle-income countries and under-served populations, where HIV and STD prevention have the greatest potential to address the largest burden of disease.


Health Service Universal Coverage Absorptive Capacity Sexually Transmitted Disease Universal Approach 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • David H. Peters
    • 1
    Email author
  • Gita Sinha
    • 2
  • Robert C. Bollinger
    • 2
  1. 1.Bloomberg School of Public HealthJohns Hopkins UniversityBaltimoreUSA
  2. 2.Center for Clinical Global Health EducationJohns Hopkins University School of MedicineBaltimoreUSA

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